In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Smoking, hypertension, obesity, diabetes, and high cholesterol

Personality type, high cholesterol, diabetes, and smoking

Alcohol consumption, obesity, diabetes, stress, and high cholesterol

Family history, hypertension, stress, and age

Answer and Explanation

The Correct Answer is A

A.   Smoking, hypertension, obesity, diabetes, and high cholesterol: These are all well-established major risk factors for heart disease and should be included in the patient's history.
B.   Personality type, high cholesterol, diabetes, and smoking: While personality type may contribute to stress, the other factors listed are more directly linked to heart disease.
C.   Alcohol consumption, obesity, diabetes, stress, and high cholesterol: Alcohol consumption may be a risk factor, but smoking and hypertension are more significant.
D.   Family history, hypertension, stress, and age: While family history, age, and hypertension are important, this option misses key factors like obesity, smoking, and diabetes.

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Correct Answer is B

Explanation

A. Exophthalmos, or bulging eyes, is associated with hyperthyroidism (such as in Graves' disease), not acromegaly.
B. This is a hallmark sign of acromegaly. People with acromegaly often develop coarse, enlarged facial features (e.g., thickened lips, enlarged nose, protruding jaw, and enlarged tongue), which occur due to excess growth hormone.
C. While acromegaly can cause abnormal bone growth, especially in the hands and feet, it does not typically result in bowed long bones. This would be more suggestive of conditions like rickets or osteomalacia.
D. While acromegaly can lead to changes in the skull, it does not typically result in a distinctly acorn- shaped cranium. This is not a primary diagnostic feature of acromegaly.

A. Timing B. Radiation C. Fremitus D. Egophony E. Location

Correct Answer is ["A","B","E"]

Explanation

A. The timing of the murmur (systolic or diastolic) is an essential component of murmur assessment. It
helps in determining the cause of the murmur, whether it’s related to heart valves or flow.
B. Radiation refers to where the murmur can be heard best, or if it radiates to other parts of the chest or neck, helping to indicate the origin of the murmur.
C. Fremitus is a term used to describe the vibrations felt on the chest wall when a person speaks, which is unrelated to heart murmurs.
D. Egophony refers to an abnormal lung sound heard during auscultation and is not relevant to the assessment of a heart murmur.
E. The location where the murmur is heard best on the chest wall is crucial in determining its origin, such as whether it is coming from the aortic or mitral valve.

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In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly. What additional finding would the nurse assess for to confirm this suspicion?

Correct Answer is B

Explanation

A heart murmur should be assessed for which of the following? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

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